Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

O. Howard Shattuck Jr., PA

Individual provider Surgical Physician Assistant · NPI 1568569598

O. Howard Shattuck Jr., PA is a Surgical Physician Assistant in Loma Linda, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

11370 Anderson St Ste 2100
Loma Linda, CA 92354-3450
Phone: (909) 558-2822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA10544 (CA)

Record details

NPI number1568569598
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESSeptember 24, 2007

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